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Case Reports in Medicine
Volume 2012, Article ID 128103, 3 pages
http://dx.doi.org/10.1155/2012/128103
Case Report

Overinfection by Paracoccidioides brasiliensis in Gouty Crystal Arthritis

1Rheumatology Unit, Fundación Valle del Lili, ICESI University, Cali, Colombia
2Infectious Diseases Unit, Fundación Valle del Lili, Cali, Colombia
3Internal Medicine Unit, Fundación Valle del Lili-CES University, Cali, Colombia
4Pathology Unit, Fundación Valle del Lili-ICESI University and Faculty of Health Sciences, Universidad del Valle, Cali, Colombia
5Pathology Unit, Fundación Valle del Lili-ICESI University, Cali, Colombia
6Medical Microbiology and Infectious Diseases Unit, Fundación Valle del Lili-ICESI University and Universidad del Valle, Cali, Colombia

Received 12 August 2012; Accepted 16 October 2012

Academic Editor: Christian Urban

Copyright © 2012 F. Bonilla-Abadía et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Paracoccidioidomycosis is an endemic South American systemic mycosis caused by the dimorphic fungus Paracoccidioides brasiliensis (P. brasiliensis). The main clinical form of disease is pulmonary, but all organs may be involved. We report a case of overinfection by P. brasiliensis in chronic gouty arthritis affecting the proximal phalanx of the right hallux. The patient required proximal amputation and long-term antifungal therapy.